Statistics on Admissions and Outpatient Attendances, as well as home and in-hospice palliative care, is provided[5]

End-of-Life Planning

Name

Description

Advanced Medical Directive (AMD)

Legal document

Oral and/or written instructions that convey treatment preferences in the event of a loss of decision-making capacity

Includes living wills, which are written, legal documents that spell out the preferred types of medical treatments and life-sustaining measures under specific circumstances

Allows patients to indicate their wish not to have any extraordinary life-sustaining treatment to be administered should they become unconscious or incapable of decision-making and are suffering from terminally illness

Lasting Power of Attorney (LPA)

Legal document

Legally designates a healthcare proxy who would make decisions on the healthcare of the individual in the event the individual is unable to do so

Advance Care Planning (ACP)

Not limited to end-of-life scenarios, but extends to long-term care situations as well

Founded in 1992, Dover Park Hospice has served as a tranquil sanctuary for over 10,000 patients and families over the years, meeting their unique physical, emotional, psycho-social and spiritual needs through holistic palliative care.

Integrated collective of various community aged care service models that have been pioneered by the organisation since 1993. They offer services ranging from care management, to traditional chinese medicine and dementia care systems

"The Economics of Singapore Nursing Home Care" by consulting firm Oliver Wyman concluded that if the next 5000 nursing home beds (MOH to increase number of nursing home beds from 12000 to 17000 in 2020) follow the Silver hope model it would cost an additional $19 million annually – or an additional $8 to 13 per resident per day. However, cost savings would be generated through lower hospitalisation rates as these proposed living arrangements would ensure that elderly have the opportunities to be more mobile[5]

"Safe but Soulless" by Radha Basu provided an overview of nursing homes today and suggested possible ways to overcome challenges.

"Supporting Singaporeans’ Aspirations for Aged Care" by The Nielsen Company showed that Singaporeans are most concerned about being able to care for oneself and ageing in place, 60% of respondents thought that residents in nursing homes should stay in single or twin-bedded rooms

90% of current nursing home beds are in 6- or 8-bedder dorms. The other 5% to 10% are single or twins, but more for infection control purposes. Japan had already phased out 6-bedder wards 40 years ago, and single beds has been the norm for almost a decade.

Revived in 2017 after the revision of plans, and to be completed in 2019[6][7]:

Extension to the north of the current Peacehaven Nursing Home in Changi

First in Singapore to adopt an ‘anti-diaper, restraint-free’ policy, made possible with specially imported beds that can be lowered to prevent falls, and which have sensors that can detect movement.

Reduction from original 60 beds to 22 beds (8 single rooms and 7 twin-sharing rooms)

Non-nurses to be trained as senior care associates, to give the caregiving manpower at the nursing home a boost. 22 residents in Jade Circle will be divided into two “households”, each cared for by a senior care associate, who will be assisted by a nursing aide.

Expanded scope to include bigger day activity centre so that elderly can age in community. Two-storey activity centre to include hydrotherapy pool, cafe, hair salon and gym

Unlike original concept, includes "full spectrum" of senior services from active ageing and preventive care to rehabilitation and residential care

Depending on the level of care needed, the estimated fees range between 1500 and 2500 for day centre care, and 2000 to 3500 for residential care before means testing

Overall development cost of Jade Circle has been reduced from the original $15 million to $14 million

Jade Circle as important pilot to set people thinking about long term care and the philosophy of dignity and humanity – providing a de-medicalised and more home-like model of care that prioritises resident autonomy beyond safety and risk management

Kampung Admiralty

An 11-storey Housing Board complex as Singapore's first 'retirement kampung'

100 studio flats for the elderly

Includes medical and senior-care centres, a food court, shops and community gardens

Hopes to empower seniors to function independently in the community for as long as they can [8]

Similar to Assisted Living Options, but with no caregiver on standby for residents with dementia[9]

Lions Home

Runs two facilities in Bishan and Bedok

Initiative to let residents wear their own clothes since 2001 so as to make care "less institutional" [10]

Rehabilitation programmes include a motion sensing video game system for residents to exercise their range of movement, coordination and other physical functions [11]

Focus on getting seniors back home as early as possible, so that they can continue their rehabilitation in the community

Orange Valley Nursing Home

Largest operator of nursing home facilities in Singapore with more than 1000 beds

First privately owned nursing home to provide outpatient rehabilitation services

Cost of staying at the home ranges from $3500 for private patients who opt for the open ward to $9000 for a private one-bedded room a month. Open wards are also available for subsidized patients.[12]

Peacehaven Nursing Home

Introduced incentivising model of care: Residents have to “earn” money through exercise sessions and daily chores before they can “spend” it activities they enjoy e.g. massage, instant noodles, biscuits, sweets

Giving residents their autonomy and keep their way of life, replicated from outside

Giving them choices and a sense of control in how much they exercise and spend their money empowers them with a sense of purpose[13]

Ren Ci Nursing Home in Ang Mo Kio

Dementia-friendly 'cluster-living' options for nursing home residents

470-bed nursing home is the "biggest departure yet from the medicalised dormitory-style accommodation"